| NPI | 1265694913 |
|---|---|
| Former Name | TIA MARIE BRABHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 50195) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TN 50195) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-02-11 |